Individual
MRS. SANDRA GAY LOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
783 7TH STREET, PHILLIPSBURG, KS 67661
(785) 543-5284
(785) 543-5285
Mailing address
315 SOUTH LINCOLN, SMITH CENTER, KS 66967
(785) 282-3343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 2515
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070616
BCBS
KS
Enumeration date
12/26/2006
Last updated
07/08/2007
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